RACHEL B PRANGER PA - NPI 1336297860 - Physician Assistant in Carlinville, IL

Q: What is the provider's specialty?

The provider's specialty is Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

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About Rachel B Pranger Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RACHEL B PRANGER PA (NPI 1336297860) is an individual medical provider in Carlinville, Illinois, licensed in Illinois (085000924) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336297860

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameRACHEL B PRANGERCredential: PA

Location Address1115 MORGAN ST, SUITE 2Carlinville, IL 62626-1430

Mailing Address1115 Morgan St, Suite 2Carlinville, IL 62626-1430 · (217) 854-3881 · Fax (217) 854-3894

Phone(217) 854-3881

Fax(217) 854-3894

Sole ProprietorNo

Enumeration DateJanuary 8, 2007

Last NPPES UpdateAugust 5, 2013

✔ NPI 1336297860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

Licenses✔ Licensed in IL · 085000924✔ Licensed in MO · 2003016368-MO

1115 MORGAN ST, Carlinville, IL 62626

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Other Identifiers 3

Other561349MO · Healthlink

Medicare PIN000097061MO

Medicare UPINM3164MO

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rachel B Pranger Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.